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General NPI Number Information
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NPI Number | 1912638339
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Entity Type | Individual
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Provider Name | SARANYA RADHAKRISHNAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1650 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457-7697
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Country | US
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Telephone | 718-960-1449
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 ASPEN PL
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City | JAMAICA
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State | NY
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Zip | 11432-2129
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 77724
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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